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Effects Of Muscle Strength Training And Nutrition On Frailty Syndrome In The Elderly

Posted on:2020-05-20Degree:MasterType:Thesis
Country:ChinaCandidate:C ChenFull Text:PDF
GTID:2404330572973426Subject:Internal Medicine
Abstract/Summary:PDF Full Text Request
Objective: The purpose of this study is to provide patients with debilitating syndrome with lower extremity muscle strength training on the basis of nutritional intervention,to evaluate the improvement of senility by nutrition and lower extremity muscle strength training,and to analyze the correlation between senile debilitating syndrome and malnutrition risk and lower extremity muscle strength training.In order to delay the process of old age enfeebled and improve the symptoms of old age enfeebled to provide practical methods.Methods: 283 elderly inpatients(age ? 60years)were collected,and they were respectively evaluated by Fried,including 5subjects with reduced quality,fatigue,physical strength,and walking speed.Each item was 1 point.According to the Fried score ? 3,it is divided into weak groups(163cases),1 point ? Fried score ? 2 is divided into weak pre-group(76 cases),and the Fried score = 0 is divided into non-weak groups(44 cases).The MNA was then evaluated,including 18 points of appetite,weight,psychology,self-evaluation,and daily diet,with a total score of >24 Indicates good nutritional status;The total score of 17-24 indicates that there is a risk of malnutrition;Total score <17 Indicates malnutrition as malnutrition.Results 48 patients with good nutrition,212 patients with risk of malnutrition,and 23 patients with malnutrition,collected basic patient information: gender,age,education,height,weight,and illness.Then 70 patients were selected from the weakened group to further give lower extremity muscle strength training and strengthen nutritional intervention.Results: The difference of age,sex and nutrition in the weak group and the non-weak group and the early weak group was statistically significant(P<UNK>0.05),and the nutritional status was good.The age,BMI,and hypertension of the elderly with a risk of malnutrition and malnutrition are statistically significant(P<UNK>0.05).Logistic regression analysis shows that gender(OR = 1.857,95 % CI: 0.827-4.171,P= 0.022),age(OR = 0.848,95 % CI: 0.799-0.901,P = 0.000)are independent risk factors that affect weakness;Gender(OR = 1.006,95 % CI: 0.288-3.513,P = 0.024),BMI(OR = 1.540,95 % CI: 1.282-1.850,P = 0.000)are independent risk factors for nutritional status.Taking weakness,non-weakness,and pre-weakness as dependent variables,using the spearman correlation analysis,the analysis of the relationship between weakness and nutrition shows that the correlation between weakness and nutrition is statistically significant and positive(P = 0.007),R = 0.160,that is,the higher the weakness score,the worse the nutritional situation.In 70 frail elderly people,exercise and nutrition interventions were given.Statistical analysis of the relevant data before and after the intervention showed that: After the weak and weakpatients gave lower extremity muscle strength and nutrition interventions,Weight loss,15 meters of walking time,physical activity,weakness score,and nutritional score changes all have statistical significance(P<UNK>0.05).Conclusion: Gender and age are independent risk factors for weakness.Gender,BMI,and coronary heart disease are independent risk factors for nutritional status.The correlation between the state of weakness and the nutritional condition is statistically significant,and the worse the nutritional condition,the higher the degree of weakness.Lower extremity muscle strength training and nutritional intervention have delayed and improved debilitating effects on debilitating patients.
Keywords/Search Tags:debilitating syndrome, lower extremity muscle training, intervention
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